MR. JURIAAN MARTIJN VANDER HEIJDEN


Address: 5303 Adams St Ne Ste A, Covington, GA 30014-6209
Phone: 7065491663

MR. JURIAAN MARTIJN VANDER HEIJDEN (NPI# 1013909159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013909159
Entity Type Individual
Full Name MR. JURIAAN MARTIJN VANDER HEIJDEN
Credential PA
Practice Address 5303 Adams St Ne Ste A
Covington
GA 30014-6209
Mailing Address 1765 Old West Broad St
Bldg 2, Ste 200
Athens
GA 30606-2853
Practice Telephone 7065491663
Practice Fax Number 7065468792
Mailing Telephone 7065491663
Mailing Fax Number 7065468792
Enumeration Date 2005-08-16
Last Update Date 2015-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 004485 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 354372749C 05

Office Location

Street Address 5303 ADAMS ST NE STE A
City COVINGTON
State GA
Zip Code 30014-6209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073594081 Brett Michael Rosenberg Orthopaedic Surgery 5303 Adams St Ne Ste A, Covington, GA 30014 2005-11-07

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1154933877 Atl Optical LLC Optometrist 3135 Highway 278 Ne, Covington, GA 30014 2020-08-24
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1356834360 Covington Dental Care Dentist 4139 Baker Street, Suite 15, Covington, GA 30014 2018-06-13
1487190005 New Avenues Assessment and Counseling Center LLC Counselor 3192 Spring Street, Covington, NEWTON 30014 2017-01-07
1275903973 Jennifer Carol Bridges Registered Nurse 320 Malcom Lane, Covington, GA 30014 2015-10-07
1134598501 Shelby Boggus King Physician Assistant 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 2015-09-16
1366829814 Wendy Pazdur Counselor 5109 Hwy 278 East, Suite D, Covington, GA 30014 2015-05-05
1306235445 Covington Center for Family Dentistry Dentist 10373 Industrial Blvd, Covington, GA 30014 2015-01-13
1992103428 Modern Cosmetic Dental Care, LLC Clinic/Center 1750 Highway 11, Suite B, Covington, GA 30014 2014-12-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588299978 Emily Estopinal Physician Assistant 1453 Natchez Loop, Covington, LA 70433-6035 2020-03-06
1386118032 Naomi Christine Hess Physician Assistant 1431 Ochsner Blvd Ste B, Covington, LA 70433-8246 2019-01-16
1609395938 Lauren Hill Physician Assistant 1618 Us 51, Covington, TN 38019 2017-09-19
1770941841 Carrie Marie Umberger Physician Assistant 1441 Ochsner Blvd, Covington, LA 70433-8110 2016-02-04
1558764548 Caitlin Elizabeth Krieger Physician Assistant 7229 Wheat Street Ne, Covington, GA 30014 2014-10-03
1720353782 Katie Ann Daggett Physician Assistant 1618 Us 51 South, Suite A, Covington, TN 38019 2012-03-09
1285922450 Katharine Perry Kaufman Physician Assistant 4151 Hospital Dr Ne, Dermatology Consultants, Covington, GA 30014-2565 2011-07-21
1053573212 Ashley E Heath Physician Assistant 4155 Baker Street Ne, Suite 100, Covington, GA 30014-1405 2008-06-30
1063487312 Ward Hibbs Thompson Physician Assistant 17700 Se 272nd St., Covington, WA 98042 2006-02-21
1730793787 Hannah Alise Anzalone Physician Assistant 648 Crestwood Blvd, Covington, LA 70433-8261 2020-09-06
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Competitor

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City COVINGTON
Zip Code 30014

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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